| NPI | 1871083642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE A USHER President 386-747-0687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH12075) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |